BPO Configuration Analysis Analyst

Position's General Duties and Tasks

In these roles you will be responsible for:

• Configuring client System for Pricing (Provider Contract) as per the requirement and according to defined business rules of new claims processing platform.

• Evaluation of Configuration Requirement and Formulation of Configuration Approach and Effectively include advanced configuration and additional functionality based on best practices

• Based on the business requirements and business rules gathered, evaluate and create rules and complete the configuration activities

• Participate in problem solving of Health Plan benefit, provider, pricing, reporting, operational and system issues

• Perform a variety of tasks related to the resolution of production support issues based on client configurations with the core administrative system

• Support activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing. Potential responsibilities include and may vary by system area of assignment

• Support fee schedule changes including terms, affiliations and contract maintenance

• Enable User Analysis Testing (UAT) and implement the modifications as suggested by the business owners and/or analyst

• Creating manual test cases from Use cases, Functional specs and other requirement documents.

• Resolve coding/QA issues by managing Master Issue Logs and Fixing the high priority change requests which require immediate attention